Active NPI
Green Ridge Healthcare Group, LLC
Doing business as Green Ridge Care Center
- Skilled Nursing Facility
- Scranton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GREEN RIDGE HEALTHCARE GROUP, LLC
- Doing business as
- Green Ridge Care Center
- Practice address
- 2741 Boulevard Ave
Scranton, PA 18509-1000 - Phone
- (570) 344-6121
- Fax
- (570) 344-5171
- NPI assigned
- Apr 15, 2011
- Last updated
- Jan 11, 2022
- Organization subpart
- Yes
- Parent organization
- SABER HEALTHCARE HOLDINGS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William I Weisberg
- Title
- President
- Phone
- (216) 292-5706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
2741 Boulevard Ave
Scranton, PA 18509-1000
Mailing address
23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026046300001 | Medicaid | PA |
Other names 1
- Green Ridge Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110624000234 | PA | Part A Provider - Skilled Nursing Facility | 8224216163 | Practice locations: Scranton, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1194015784. Details of each certification follow.
Skilled nursing facility certification: CCN 395067
- Legal name
- GREEN RIDGE HEALTHCARE GROUP, LLC
- Doing business as
- GREEN RIDGE CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 21, 1972
- Last certification
- Jan 31, 2025
- Beds
- 95
- Ownership / control type
- Corporation
- Multi-facility organization
- Saber Healthcare Group
- Organization structure
- LLC
- Enrollment address
- 2741 Boulevard Avenue
Green Ridge Care Center
Scranton, PA 18509-1000 - Nursing home name
- GREEN RIDGE CARE CENTER
- Affiliated entity
- SABER HEALTHCARE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Green Ridge Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 21, 1972
- Medicare certification status
- Active
- Certified beds
- 95
- Chain
- Saber Healthcare Group
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 19
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Saber Healthcare Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2023 | 100% |
| Scranton Health Investors | Adp of the SNF | Aug 1, 2015 | |
| Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 33% |
| Bundle Tenant LLC | Adp of the SNF | Dec 10, 2025 | |
| Gregory Nicoluzakis | Corporate Officer | Mar 1, 2019 | |
| Adp of the SNF | Mar 1, 2019 | ||
| SHG Management LLC | Operational/Managerial Control | Sep 1, 2019 | |
| Adp of the SNF | Sep 1, 2019 | ||
| Saber Governance LLC | Adp of the SNF | Sep 1, 2019 | |
| Kevin K Musto | Adp of the SNF | Jun 1, 2023 | |
| BNV Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 33% |
| Benjamin N Volpe | Corporate Officer | Mar 1, 2019 | |
| Corporate Director | Mar 1, 2019 | 50% | |
| Saber PA Holdings, LLC | 5% Or Greater Direct Ownership Interest | Dec 31, 2023 | 100% |
| Gary Malia | Operational/Managerial Control | Apr 25, 2024 | |
| Adp of the SNF | Apr 25, 2024 | ||
| Citrin Cooperman Advisors LLC | Adp of the SNF | Jul 1, 2011 | |
| Wiw Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 67% |
| William I Weisberg | Corporate Officer | Mar 1, 2019 | |
| Corporate Director | Mar 1, 2019 | 50% | |
| The Huntington National Bank | Adp of the SNF | Jul 19, 2019 | |
| RKL LLP | Adp of the SNF | Jan 26, 2023 | |
| Lori Sakalas | Operational/Managerial Control | May 6, 2024 | |
| Adp of the SNF | May 6, 2024 | ||
| Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 67% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Facilities with the same owner 122
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Ambler Extended Care Center
- Skilled Nursing Facility
- Ambler, PA
- NPI 1063711786
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Frackville, PA
- NPI 1033619333
Saber PA Holdings, LLC, SHG Management LLC
-
dba Broomall Manor
- Skilled Nursing Facility
- Broomall, PA
- NPI 1821261710
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Bryn Mawr Extended Care Center
- Skilled Nursing Facility
- Bryn Mawr, PA
- NPI 1801195524
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Harrisburg, PA
- NPI 1447961636
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Twin Pines Health Care Center
- Skilled Nursing Facility
- Chatham, PA
- NPI 1568600849
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Fort Washington, PA
- NPI 1538676036
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Dunmore Health Care Center
- Skilled Nursing Facility
- Dunmore, PA
- NPI 1942423454
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Pittsburgh, PA
- NPI 1720790769
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Elkins Park, PA
- NPI 1932609237
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Greensburg, PA
- NPI 1245941442
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Cheswick, PA
- NPI 1033820246
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Dunmore, PA
- NPI 1679534226
-
- Internal Medicine Physician
- Pittston, PA
- NPI 1669884607
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641859200000",
"number": "1194015784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23700 COMMERCE PARK",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225827",
"telephone_number": "216-292-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 BOULEVARD AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185091000",
"telephone_number": "570-344-6121",
"fax_number": "570-344-5171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN RIDGE HEALTHCARE GROUP, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
"enumeration_date": "2011-04-15",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A",
"authorized_official_last_name": "WEISBERG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "216-292-5706"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026046300001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Green Ridge Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Green Ridge Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.